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MAT 211
CLINICAL PROCEDURES II
FOR THE MEDICAL ASSISTANT
Plan of Instruction
Effective Date: NLT Fall 2013
Version Number: 2012-1
COURSE DESCRIPTION: This course includes instruction in vital signs and special
examination procedures. Emphasis is placed on interviewing skills, appropriate triage
and preparing patients for diagnostic procedures. Upon completion, students should be
able to assist with special procedures.
CREDIT HOURS
Theory
2 credit hours
Lab
1 credit hour
Clinical
0 credit hours
Total
3 credit hours
Total contact hours - 5
NOTE: Theory credit hours are a 1:1 contact to credit ratio. Colleges may schedule lab hours as 3:1 and/or
2:1 contact to credit ratio. Clinical hours are 3:1 contact to credit ratio. Practicum 5:1 contact to credit ratio.
(Ref Board Policy 705.01)
Alabama Community College System
Copyright© 2012
All Rights Reserved
Clinical Procedures II For The Medical Assistant
Mat 211
PREREQUISITE COURSES
None
CO-REQUISITE COURSES
None
INSTRUCTIONAL GOALS

Cognitive - Comprehend foundational knowledge of clinical procedures.

Psychomotor - Apply concepts associated with foundational knowledge of
clinical procedures.

Affective – Demonstrate an appreciation for adhering to policies and procedures
associated with clinical lab activities.
INSTRUCTOR NOTES:

In the interest of student and patient safety, adequate supervision is required for
all activities performed in a simulated or clinical environment.
PROFESSIONAL COMPETENCIES






Develop an appreciation for the importance of establishing rapport with pediatric
patients and their parents/guardians.
Communicate effectively with patients and their parents/guardians.
Perform diagnostic tests on pediatric patients.
Assist with cardiopulmonary testing procedures.
Assist with colon and male reproductive health testing procedures.
Discuss various types of radiology and diagnostic imaging equipment and
procedures.
PROFESSIONAL COMPETENCIES/OBJECTIVES
Unless otherwise indicated, evaluation of student’s attainment objectives is based on
knowledge and skills gained from this course. Competencies specified for each module
may be set by certification agencies, national and state codes, health care facility
policies, locally developed lab/clinical assignments, or any combination. Students are
expected to utilize relevant technology for client care and documentation. This course
is based on current national credentialing bodies.
ACCS Copyright© 2012
All Rights Reserved
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Clinical Procedures II For The Medical Assistant
Mat 211
STUDENT LEARNING OUTCOMES
MODULE A - THE MEDICAL RECORD
PROFESSIONAL COMPETENCIES
A1.0
A2.0
Value the importance of accuracy
and thoroughness when
documenting medical information.
Prepare a patient medical record.
PERFORMANCE OBJECTIVES
A1.1 This competency is measured
affectively.
A2.1 This competency is measured
cognitively.
LEARNING OBJECTIVES
A1.1.1 Discuss the importance of attention to detail and accuracy as related to
medical records.
A1.2.1 List the categories of medical documents commonly found in medical
records.
A1.2.2 Describe elements of a patient consent form.
A1.2.3 Describe elements of a medical release form.
A1.2.4 Differentiate between source oriented and problem oriented formats of
medical records documentation for both electronic and paper based
methods.
A1.2.5 Differentiate between electronic and paper based methods of record
documentation.
A1.2.6 Describe the elements of S.O.A.P formatting.
A1.2.7 Describe the critical components of a health history.
A1.2.8 Discuss effective interview techniques to obtain a comprehensive health
history.
A1.2.9 Differentiate between relevant and irrelevant elements of a heath history.
A1.2.10 Discuss the importance of thorough documentation of a patient’s health
history.
A1.2.11 Define terms associated with charting.
A1.2.12 Interpret abbreviations used in charting.
A1.2.13 Describe techniques for making corrections in charting.
A1.2.14 Explain how to obtain patient’s chief complaints.
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MODULE A OUTLINE
 Components of the Medical Record
 Importance of record keeping
 Categories of documents
 Consent forms
 Medical release information
 Medical Record Formats
 Methods of documentation
o Source oriented
o Problem oriented
 Electronic records
 SOAP
o Subjective
o Objective
o Assessment
o Plan
ACCS Copyright© 2012
All Rights Reserved
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Clinical Procedures II For The Medical Assistant
Mat 211
MODULE A OUTLINE (continued)
 Guidelines for Obtaining Health History
 Components of health history
 Interview techniques
 Documentation
 Medical record charting guidelines
 Terminology
 Abbreviations
 Making corrections
 Obtaining chief complaints
MODULE B - VITAL SIGNS
PROFESSIONAL COMPETENCIES
B1.0 Perform assessment of patient’s
vital signs and document results.
PERFORMANCE OBJECTIVES
B1.1 Use equipment and techniques to
obtain and document a patient’s
vital signs.
Samples of Behavior
 Communication skills
 Equipment use and techniques
 Documentation
LEARNING OBJECTIVES
B1.1.1 Define terms and abbreviations as it relates to obtaining vital signs.
B1.1.2 Describe the equipment used for obtaining various elements of vital signs.
B1.1.3 Describe the techniques for obtaining various elements of vital signs.
B1.1.4 Recognize variations of vital signs.
B1.1.5 Describe documentation requirements for vital signs.
MODULE B OUTLINE
 Body Temperature Regulation and Assessment
 Equipment
 Techniques
 Variations
 Documentation
 Pulse Mechanism and Assessment
 Equipment
 Techniques
 Variations
 Documentation
 Respiration Mechanism and Assessment
 Equipment
 Techniques
 Variations
 Documentation
 Blood Pressure Mechanism and Assessment
 Equipment
 Techniques
 Variations
 Documentation
ACCS Copyright© 2012
All Rights Reserved
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Clinical Procedures II For The Medical Assistant
Mat 211
MODULE C GYNACOLOGICAL AND OBSTETRICAL EXAMS
PROFESSIONAL COMPETENCIES
C1.0
PERFORMANCE OBJECTIVES
Perform medical assisting activities C1.1 Assist physician with performing
for gynecological and obstetrical
gynecological exams and
exams.
documenting results.
Samples of Behavior
 Communication
 Equipment use and setup
 Documentation
LEARNING OBJECTIVES
C1.1.1 Define terms and abbreviations associated with gynecologic exams.
C1.1.2 Describe elements of various gynecological exam procedures.
C1.1.3 Describe the equipment and setup for assisting with performing various
gynecological exams.
C1.1.4 Define terms and abbreviations associated with first and return prenatal
exams.
C1.1.5 Describe elements of various first and return prenatal exam procedures.
C1.1.6 Describe the equipment and setup for assisting with performing various first
and return prenatal exams.
C1.1.7 Define terms and abbreviations associated with postpartum exams.
C1.1.8 Describe elements of postpartum exams.
C1.1.9 Describe the equipment and setup for assisting with performing postpartum
exams.
MODULE C OUTLINE
 Gynecologic Exam
 Terms and abbreviations
 Equipment
 Breast Exam
 Pelvic Exam
 Pap and Hormonal Smear
 Vaginal Infections
 Documentation
 First Prenatal Visits
 Terms and abbreviations
 Equipment
 Completion of Prenatal Record
 Physical Exam
 Patient Education
 Laboratory Tests
 Return Prenatal Visits
 Terms and abbreviations
 Equipment
 Fundal Height Measurement
 Fetal Heart Tone
 Fetal Presentation and Position
 Vaginal Examination
 Six-weeks Postpartum Visit
ACCS Copyright© 2012
All Rights Reserved
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Clinical Procedures II For The Medical Assistant
Mat 211
MODULE D - PEDIATRIC OFFICE VISITS
PROFESSIONAL COMPETENCIES
D1.0
D2.0
D3.0
Develop an appreciation for the
importance of establishing rapport
with pediatric patients and their
parents/guardians.
Communicate effectively with
patients and their
parents/guardians.
Perform diagnostic tests on
pediatric patients.
PERFORMANCE OBJECTIVES
D1.1 This competency is measured
affectively.
D2.1 Use effective communication
techniques with patients, their
parents/guardians, and other
health team members.
NOTE: This is an ongoing evaluation.
D3.1 Safely and properly transport
pediatric patients.
Samples of behavior:
 Cradling
 Upright
 Restraints
D3.2 Measure and plot pediatric
growth patterns.
D3.3 Perform procedures for
identifying pediatric hypertension
and diabetes.
Samples of behavior:
 Equipment use and placement
 Techniques
 Laboratory procedures
LEARNING OBJECTIVES
D1.1.1 Discuss the importance of adapting approach to caring for sick child versus
well child visits.
D1.1.2 Discuss the importance of establishing appropriate rapport with pediatric
patients and parents/guardians.
D2.1.1 Discuss techniques for gaining trust with pediatric patients and their
parent/guardians.
D2.1.2 Describe effective communication techniques related to pediatric and
parents/guardians.
D3.1.1 Discuss the importance of properly transporting an infant.
D3.1.2 Identify correct methods for transporting an infant.
D3.1.3 Discuss the importance of correctly measuring and recording growth
patterns.
D3.1.4 Explain how to measure growth and plot results.
D3.1.5 Identify characteristics of normal growth patterns.
D3.1.6 Differentiate between normal and abnormal growth patterns.
D3.1.7 Describe risk factors associated with pediatric hypertension and diabetes.
D3.1.8 Differentiate between obtaining blood pressure for pediatric patients and
adults.
ACCS Copyright© 2012
All Rights Reserved
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Clinical Procedures II For The Medical Assistant
Module D Learning Objectives (continued)
D3.1.9 Describe techniques for obtaining pediatric blood pressure.
D3.1.10 Describe techniques for obtaining pulse and respiration measurements for
pediatric patients.
D3.1.11 Identify current immunization guidelines for pediatric patients.
D3.1.12 Describe why various newborn blood screening tests are performed and
their related disease process.
D1.1.13 Discuss the importance of thorough and accurate documentation and
reporting of diagnostic screening.
MODULE D OUTLINE
 Rapport
 Importance
 Gaining trust
 Sick child/well child
 Communicating with family
o Communication process
o Child
 Parents/guardians
 Carrying the Infant
 Safety
 Proper positioning and securing the infant
o Cradling
o Upright
o Restraints
 Growth Patterns
 Plotting the growth chart
o Length
o Weight
o Head circumference
 Normal growth patterns
 Pediatric procedures and diagnostic exams
 Pediatric Blood Pressure
o Risk factors for pediatric hypertension and diabetes
 Childhood obesity
 Diet and nutrition
 Exercise
 Heredity
o Obtaining pediatric blood pressure
 Equipment
 Placement
 Technique
 Pulse/respiration
 Immunization guidelines
 Newborn screening tests
o Collection methods
o When/why test is performed
o Correlating reason with associated condition
 Documentation and reporting
ACCS Copyright© 2012
All Rights Reserved
Mat 211
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Clinical Procedures II For The Medical Assistant
Mat 211
MODULE E - CARDIOPULMONARY PROCEDURES
PROFESSIONAL COMPETENCIES
E1.0
Assist with cardiopulmonary testing
procedures.
PERFORMANCE OBJECTIVES
E1.1 Perform various cardiopulmonary
testing procedures.
Samples of Behavior:
 Equipment set-up
 Patient preparation
 Placement of leads
 Recognition and elimination of
artifacts
 Documentation and reporting
LEARNING OBJECTIVES
E1.1.1 Describe the heart structure and conduction system.
E1.1.2 Explain the purpose of electrocardiography
E1.1.3 Identify components of ECG equipment.
E1.1.4 Identify the normal ECG cycle
E1.1.5 Discuss considerations for recognizing abnormalities.
E1.1.6 Discuss how to eliminate artifacts
E1.1.7 Discuss the importance of accurate documentation and reporting.
E1.1.8 Identify information required for accurate documentation and reporting.
E1.1.9 Describe the purpose of the Holter Monitor and pulmonary function testing.
E1.1.10 Identify components and their purpose of equipment used for pulmonary
function testing.
E1.1.11 Describe the procedures for using a Holter Monitor.
E1.1.12 Describe procedures for pulmonary function testing.
MODULE E OUTLINE
 Heart structure and conduction system
 Electrocardiography
 Purpose
 Equipment
 Procedures
o Gowning
o Patient instructions
o Skin preparation
o Placement of leads
 Normal ECG cycle, Artifacts, and Dysrhythmias
o Recognition of abnormalities
o Eliminating artifacts
o Documentation and reporting
 Holter Monitor and Pulmonary Function Testing
 Purpose
 Equipment
 Procedures
o Patient instructions
ACCS Copyright© 2012
All Rights Reserved
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Clinical Procedures II For The Medical Assistant
Mat 211
MODULE F - COLON PROCEDURES AND MALE REPRODUCTIVE HEALTH
PROFESSIONAL COMPETENCIES
F1.0
Assist with colon and male
reproductive health testing
procedures.
PERFORMANCE OBJECTIVES
F1.1 Assist with various colon
procedures.
Samples of Behavior:
 Patient preparation
 Testing procedures
LEARNING OBJECTIVES
F1.1.1 Describe various types of colon studies and their purpose.
F1.1.2 Describe how to prepare patients for various colon studies.
F1.1.3 Describe various types of procedures related to male reproductive
screenings and their purpose.
F1.1.4 Describe how to prepare patients for various male reproductive screenings.
MODULE F OUTLINE
 Types of colon studies
 Patient Preparation
o Instructions
o Gowning
 Male reproductive health screenings
 Types of procedures
 Patient Preparation
ACCS Copyright© 2012
All Rights Reserved
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Clinical Procedures II For The Medical Assistant
Mat 211
MODULE G – RADIOLOGY AND DIAGNOSTIC IMAGING
PROFESSIONAL COMPETENCIES
G1.0
PERFORMANCE OBJECTIVES
Discuss various types of radiology
G1.1 This competency is measured
and diagnostic imaging equipment
cognitively.
and procedures.
LEARNING OBJECTIVES
G1.1.1 Explain various types of radiography and diagnostic imaging equipment and
their purpose.
G1.1.2 Describe how to prepare patients for radiology and diagnostic imaging
studies.
MODULE G OUTLINE
 Radiology and diagnostic imaging
 X-rays and Fluoroscopy
 Positioning the Patient
 Specific Exams
ACCS Copyright© 2012
All Rights Reserved
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Clinical Procedures II For The Medical Assistant
Mat 211
LEARNING OUTCOMES TABLE OF SPECIFICATIONS
The table below identifies the percentage of learning objectives for each module. Instructors should
develop sufficient numbers of test items at the appropriate level of evaluation.
Limited Knowledge
and Proficiency
KSA
Module A
Module B
Module C
Module D
Module E
Module F
Module G
1
15%
20%
33%
8%
46%
0
0
Indicator
Key Terms
1
Limited
Knowledge
and
Proficiency
2
Moderate
Knowledge
and
Proficiency
3
Advanced
Knowledge
and
Proficiency
4
Superior
Knowledge
and
Proficiency
A
Affective
Objective
ACCS Copyright© 2012
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Moderate
Knowledge and
Proficiency
2
46%
40%
67%
67%
37%
100%
100%
Advanced
Knowledge and
Proficiency
3
39%
40%
0
25%
17%
0
0
Superior
Knowledge and
Proficiency
4
0
0
0
0
0
0
0
Learner’s Knowledge, Skills and Abilities
Description
 Recognize basic information about the subject including terms and
nomenclature.
 Students must demonstrate ability to recall information such as facts,
terminology or rules related to information previously taught.
 Performs simple parts of the competency. Student requires close
supervision when performing the competency.
 Distinguish relationships between general principles and facts. Adopts
prescribed methodologies and concepts.
 Students must demonstrate understanding of multiple facts and
principles and their relationships, and differentiate between elements
of information. Students state ideal sequence for performing task.
 Performs most parts of the competency with instructor assistance as
appropriate.
 Examines conditions, findings, or other relevant data to select an
appropriate response.
 The ability to determine why and when a particular response is
appropriate and predict anticipated outcomes.
 Students demonstrate their ability to seek additional information and
incorporate new findings into the conclusion and justify their answers.
 Able and willing to perform tasks independently..
 Assessing conditions, findings, data, and relevant theory to formulate
appropriate responses and develop procedures for situation resolution.
Involves higher levels of cognitive reasoning.
 Requires students to formulate connections between relevant ideas
and observations.
 Students apply judgments to the value of alternatives and select the
most appropriate response.
 Can instruct others how to do the competency.
 Performs competency quickly and accurately.
 Describes learning objectives that emphasize a feeling tone, an
emotion, or a degree of acceptance or rejection.
 Objectives vary from simple attention to selected phenomena to
complex but internally consistent qualities of character and conscience.
 Expressed as interests, attitudes, appreciations, values, and emotional
sets or biases.
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